WOODBRIDGE OPTOMETRISTS, INC
NPI: 1538413471
· WOODBRIDGE, VA 22191
· 152W00000X
$121K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
369 |
$7K |
| 2020 |
1,224 |
$20K |
| 2021 |
981 |
$16K |
| 2022 |
1,179 |
$18K |
| 2023 |
2,019 |
$38K |
| 2024 |
996 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
|
1,882 |
1,842 |
$78K |
| 92014 |
|
433 |
408 |
$17K |
| V2100 |
Lens spher single plano 4.00 |
513 |
510 |
$12K |
| V2020 |
Vision svcs frames purchases |
466 |
463 |
$9K |
| V2784 |
Lens polycarb or equal |
528 |
525 |
$3K |
| 92015 |
|
2,919 |
2,847 |
$802.69 |
| S0620 |
Routine ophthalmological exa |
14 |
14 |
$640.00 |
| V2025 |
Eyeglasses delux frames |
13 |
13 |
$454.61 |